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Contact Information

LINDA M GENDRON, LCSW
657 TROUVILLE AVE #2
GROVER BEACH, CA93433
 Phone: 805-474-2165
 Fax: 805-474-2160
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LINDA M GENDRON · (Female)

NPI Number 1104398155
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 12/31/2018
Last updated 02/08/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # ASW73630
  • CA License # LCSW99052
  • Other 104100000X BOARD OF BEHAVIORAL SCIENCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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